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Missouri rates for HCPCS B4087

Gastrostomy/jejunostomy tube, standard, any material, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $28.87 / $33.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.22 / $28.87 / $33.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.43 / $33.00 / $145.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $26.32 / $36.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $36.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $66.45 / $158.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $30.08 / $53.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.14 / $31.43 / $32.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $27.67 / $57.23